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1588048201
BRIDGEWATER BEHAVIORAL HEALTH, LLC
RAPID CITY, SD
NPI
1588048201
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Entity Type
Organization
Authorized Contact
GENNI L GOSCHKE
President
605-791-1514
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: SD 479)
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
BRIDGEWATER BEHAVIORAL HEALTH, LLC
902 COLUMBUS ST
RAPID CITY, SD 57701-3543
Phone number: 605-791-1514
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Mailing Address
BRIDGEWATER BEHAVIORAL HEALTH, LLC
PO BOX 1990
RAPID CITY, SD 57709-1990
Phone number: 605-791-1514
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